Mary Scienzo Waters, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2470 Issued in MA

Practice address

8 Lewis Point Rd
Bourne, MA 02532-5613

Phone

(508) 743-8120

Fax

(508) 759-3628

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396861803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 OAKLEY AVE",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025322113",
            "telephone_number": "508-759-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LEWIS POINT RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025325613",
            "telephone_number": "508-743-8120",
            "fax_number": "508-759-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MARY",
        "middle_name": "SCIENZO",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie A Vail, M.S., CCC-A
• Helle Svava Valenzano, COTA
• Victoria M. Camaya, MD PC
• Laurie Vining
• Judith Walman
• Sean Patrick Wiggin, PHARMD
• Alyson Williams
• Dana F Zweig, MD

• Physical Therapy Assistant in Bourne, MA
• Providers in Bourne, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.